NPI | 1639478134 |
---|---|
Former Name | DEBRA SCHEINBLUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2761) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional (Licence: RI MHC00680) | |
Enumeration Date | 2011-03-23 |
Last Update Date | 2021-08-27 |