| NPI | 1699865634 |
|---|---|
| Former Name | CONNIE L AUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 499) |
| 1041C0700X Social Worker, Clinical (Licence: NE CMSW68) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-07-20 |