NPI | 1376958652 |
---|---|
Former Name | LORETTA L DIRDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP1600X Counselor, Pastoral | |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |