| NPI | 1689800039 |
|---|---|
| Former Name | NORMA GAYLE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2009000990) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39004116A) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2025-01-08 |