NPI | 1326677519 |
---|---|
Former Name | KASEY HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2025009350) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2023015693) |
Enumeration Date | 2020-04-08 |
Last Update Date | 2025-04-01 |