NPI | 1922326339 |
---|---|
Former Name | DOROTHY CHRISTINE BRUMFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005866) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC3273) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2016-02-26 |