NPI | 1700083326 |
---|---|
Professional Name | REGINA GENTRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SC LPC) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL 5236) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2007-07-08 |