NPI | 1548271323 |
---|---|
Former Name | DANA WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 15425) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
101Y00000X Counselor | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2007-07-08 |