NPI | 1952773780 |
---|---|
Former Name | ROSALIND MARIE ODOM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 7690) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-10-20 |
Last Update Date | 2021-09-16 |