NPI | 1902939804 |
---|---|
Former Name | VERONICA B WADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TN LPC0000002465) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P0906033) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2015-12-10 |