NPI | 1497740823 |
---|---|
Former Name | BEVERLY ANNE BATCHELDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ME CC3532) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: TX 10354) |
106H00000X Marriage & Family Therapist (Licence: TX 2414) | |
Enumeration Date | 2005-09-12 |
Last Update Date | 2012-10-10 |