NPI | 1639105471 |
---|---|
Former Name | TRUDE HORTON CHAMBERLAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MS C2253) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C2253) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2007-08-13 |