NPI | 1174595888 |
---|---|
Former Name | CHRISTINA DAWN DORMSTETTER-O'KEEFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003335) |
Enumeration Date | 2006-02-06 |
Last Update Date | 2024-02-15 |