NPI | 1740429638 |
---|---|
Other Name | DORE LEIGH QUINN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 64725) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 64725) |
Enumeration Date | 2009-02-17 |
Last Update Date | 2021-10-25 |