NPI | 1598198152 |
---|---|
Former Name | DARLA DRENTLAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 2146) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200183) |
Enumeration Date | 2013-08-18 |
Last Update Date | 2019-06-06 |