NPI | 1952580359 |
---|---|
Former Name | CYNTHIA L. RUTHERFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 2059) |
Additional Taxonomies | 104100000X Social Worker (Licence: NM B-1496) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2007-11-01 |