NPI | 1811403371 |
---|---|
Other Name | BETTY GRULLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-2054) |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: CO LPC.0018508) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-12-20 |
Last Update Date | 2023-06-15 |