NPI | 1356363113 |
---|---|
Former Name | JOAN FULLER SAUNDERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC LPC4785) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC NOC46520) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2009-07-09 |