NPI | 1003844275 |
---|---|
Former Name | PATRICIA WHITE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 003066LPCGA) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 003066) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2019-03-06 |