NPI | 1386943272 |
---|---|
Former Name | CHRISTINE ANN OTTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11796) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-03-18 |
Last Update Date | 2013-04-29 |