| NPI | 1417261413 |
|---|---|
| Former Name | ANN BERNETTE MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MO 2007024893) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2007024893) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2016-01-19 |