NPI | 1285908616 |
---|---|
Former Name | ALANA KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2021015330) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AR P1912143) |
Enumeration Date | 2012-03-02 |
Last Update Date | 2023-04-19 |