| NPI | 1033675376 |
|---|---|
| Former Name | CHARIE ANN WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2019004030) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MO 000245) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-07-22 |