NPI | 1982742169 |
---|---|
Former Name | SUE MEIXNER WOODS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 6672) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD 0568) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-09 |