| NPI | 1952342008 |
|---|---|
| Former Name | BETTY GAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 904) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 476) |
| 103T00000X Psychologist (Licence: KS 0517) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-02-06 |