NPI | 1316685118 |
---|---|
Former Name | HANNAH MARIE EAGLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2014033813) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2022-05-23 |
Last Update Date | 2022-05-23 |