| NPI | 1457854440 |
|---|---|
| Former Name | DORYE MICHELLE EMORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CT 008194) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CT 008194) |
| 106H00000X Marriage & Family Therapist (Licence: CT 008194) | |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |