NPI | 1487146106 |
---|---|
Former Name | DIERRE A PERRY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2018-05-30 |
Last Update Date | 2018-05-30 |