NPI | 1477543007 |
---|---|
Former Name | DAWN RENE MCCREARY-ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 001576) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2005-10-25 |
Last Update Date | 2007-07-08 |