NPI | 1588099428 |
---|---|
Former Name | MARGARET NELL SHELTON/MILDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3046-A) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2017-12-01 |