NPI | 1609174457 |
---|---|
Former Name | RUTH LEILA HARNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH5938) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL MH5938) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-03-03 |