| NPI | 1629320080 |
|---|---|
| Former Name | DEBBIE L DODGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH14195) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14195) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2018-11-26 |