NPI | 1316921018 |
---|---|
Former Name | NANCY GAYLE DONAHOO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 000619) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 000619) |
225XM0800X Occupational Therapist, Mental Health (Licence: MO 000619) | |
Enumeration Date | 2005-12-06 |
Last Update Date | 2023-03-16 |