NPI | 1194961797 |
---|---|
Former Name | DANA BYRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6270) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2009-01-02 |
Last Update Date | 2017-05-08 |