NPI | 1215590047 |
---|---|
Former Name | SEANNA BOWEN-WISHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-04-17 |
Last Update Date | 2023-01-03 |