NPI | 1477879104 |
---|---|
Former Name | SHOREY ELIZABETH DOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 2172) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0134136) |
101YM0800X Counselor, Mental Health (Licence: RI MHC01030) | |
101YM0800X Counselor, Mental Health (Licence: MA 7793) | |
Enumeration Date | 2010-04-20 |
Last Update Date | 2022-08-12 |