NPI | 1295867380 |
---|---|
Former Name | BARB DUFFIE-BEASLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004304) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.004304) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2023-01-25 |