NPI | 1073715405 |
---|---|
Former Name | MARNI GWEN SPUHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0005086) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO NLC 9249) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2018-06-08 |