NPI | 1346414810 |
---|---|
Former Name | JANNA SUELLYN GILMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC006601) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC001948) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2012-04-25 |