| NPI | 1972873511 |
|---|---|
| Former Name | CORRIE LEA HUNGERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH5580) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT1957) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2015-03-22 |