NPI | 1316570856 |
---|---|
Former Name | HANNAH MARIE CHASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 7941-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL TPMC5638) |
101Y00000X Counselor (Licence: TX 93197) | |
101Y00000X Counselor (Licence: PA PC018094) | |
Enumeration Date | 2020-02-12 |
Last Update Date | 2025-03-17 |