NPI | 1801103684 |
---|---|
Former Name | MITZI LEE MCTEER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC001758) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN057578) |
Enumeration Date | 2010-09-01 |
Last Update Date | 2010-09-01 |