NPI | 1922336874 |
---|---|
Former Name | RONELLA E FRIERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NC 1292) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1292) |
101YM0800X Counselor, Mental Health (Licence: NC 1292) | |
Enumeration Date | 2009-12-03 |
Last Update Date | 2013-01-03 |