NPI | 1881744787 |
---|---|
Former Name | SHARON ANN DONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002503A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6401018507) |
101YP2500X Counselor, Professional (Licence: IL 180-004245) | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2024-04-08 |