NPI | 1225307168 |
---|---|
Former Name | CATHY RENAE SHUFFIELD |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 06595) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-12-21 |
Last Update Date | 2025-02-07 |