NPI | 1285977728 |
---|---|
Former Name | MINDI MARLENA WILKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AL C2073A) |
Additional Taxonomies | 104100000X Social Worker (Licence: AL 4285B) |
Enumeration Date | 2013-04-03 |
Last Update Date | 2013-04-03 |