NPI | 1033628532 |
---|---|
Former Name | MORGAN DIANE FUTCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NV CP1272) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NV CI0329) |
251S00000X | |
Enumeration Date | 2017-09-27 |
Last Update Date | 2020-05-29 |