NPI | 1720337884 |
---|---|
Former Name | SHAULA PALMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NM CCMH0175971) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NM 0150281) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2022-07-13 |