NPI | 1598111205 |
---|---|
Former Name | DENISE RAE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC A12116) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12116) |
251G00000X Hospice Care, Community Based (Licence: NC A12116) | |
251S00000X (Licence: NC A12116) | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2016-05-11 |