NPI | 1285082719 |
---|---|
Former Name | TRISHA MARIE OAKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401016691) |
Additional Taxonomies | 101Y00000X Counselor |
247200000X Technician, Other | |
Enumeration Date | 2016-05-25 |
Last Update Date | 2019-03-18 |