NPI | 1841282084 |
---|---|
Former Name | BETSY KLAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 1819) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001504a) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2008-08-27 |