NPI | 1205376548 |
---|---|
Former Name | EBUNI MCFALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 11612) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC003664) |
Enumeration Date | 2017-03-06 |
Last Update Date | 2017-03-06 |