NPI | 1346575529 |
---|---|
Former Name | AMBER MARIE NOVAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60075255) |
Enumeration Date | 2009-10-06 |
Last Update Date | 2023-06-16 |