NPI | 1154967818 |
---|---|
Former Name | CORINNE S TRUXAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8159-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 2099-266) |
Enumeration Date | 2019-11-18 |
Last Update Date | 2024-09-17 |