NPI | 1366862435 |
---|---|
Former Name | YVONNE DONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3376) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC24401) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2015-02-02 |