NPI | 1336372614 |
---|---|
Former Name | GAIL ANN RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0149581) |
Enumeration Date | 2009-09-02 |
Last Update Date | 2012-10-25 |