| NPI | 1548305048 |
|---|---|
| Former Name | GLORIA JEAN FARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E3705) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: MI 6401015626) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2025-01-21 |