NPI | 1073907820 |
---|---|
Former Name | VONNE ANDERSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1639) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-868) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2019-12-03 |