NPI | 1649349473 |
---|---|
Former Name | GAIL MAUREEN WEST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149003324) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149003324) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2007-07-08 |