NPI | 1346585924 |
---|---|
Former Name | APRIL HERMANSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 5189-125) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: AZ 23169) |
101YP2500X Counselor Professional (Licence: CA 16679) | |
Enumeration Date | 2012-12-07 |
Last Update Date | 2024-07-04 |