| NPI | 1164758736 |
|---|---|
| Former Name | BETHANY LEANNE LARIMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 105393) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-0939) |
| 101YP2500X Counselor, Professional (Licence: KY 1053935) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2024-11-14 |