NPI | 1598988636 |
---|---|
Former Name | DOROTHY R KENDALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WY LPC481) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WY LPC-481) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2011-05-04 |