NPI | 1043668999 |
---|---|
Former Name | LEAH DOROTHY BEARMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 4372) |
Additional Taxonomies | 101YP2500X Counselor Professional |
Enumeration Date | 2016-06-01 |
Last Update Date | 2024-08-14 |