NPI | 1144231689 |
---|---|
Former Name | JAMI DEL LONGWITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1212R) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 784) |
101YP2500X Counselor, Professional (Licence: MO 2001001598) | |
Enumeration Date | 2006-08-10 |
Last Update Date | 2024-06-07 |