| NPI | 1649232745 |
|---|---|
| Former Name | NORA JEAN CAMPBELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO MO003298) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO MO2004024) |
| 221700000X Art Therapist (Licence: MO 90120) | |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2022-11-08 |