NPI | 1841382504 |
---|---|
Former Name | DELYN E BATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2688) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-09-29 |
Last Update Date | 2016-07-13 |