NPI | 1306509740 |
---|---|
Former Name | SHEENA MCGLOTHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011330) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA 541108079) |
Enumeration Date | 2021-10-21 |
Last Update Date | 2024-08-21 |