NPI | 1215983986 |
---|---|
Former Name | SANDRA LYNN HUNT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 1240) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL 1240) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2021-04-28 |