NPI | 1184239543 |
---|---|
Former Name | TAYLOR SPEEGLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-09-12 |
Last Update Date | 2024-06-25 |