NPI | 1497042014 |
---|---|
Other Name | ANITA SHYRELL MASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
171W00000X Contractor | |
Enumeration Date | 2011-07-03 |
Last Update Date | 2011-07-03 |