NPI | 1841513884 |
---|---|
Former Name | LINDA WAGES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AR P1401010) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR A1109093) |
Enumeration Date | 2010-03-04 |
Last Update Date | 2016-03-29 |