NPI | 1609165026 |
---|---|
Other Name | BYRDIE KEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA MU22999) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MU22999) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |