NPI | 1023546959 |
---|---|
Former Name | MISSY SUE MERCHANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401015284) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401017488) |
Enumeration Date | 2017-05-23 |
Last Update Date | 2023-04-27 |