NPI | 1306280987 |
---|---|
Former Name | PATRICIA STARBIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN LPC0000001774) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004887) |
Enumeration Date | 2013-04-25 |
Last Update Date | 2021-07-12 |