NPI | 1376930883 |
---|---|
Former Name | LINDSEY DAWN BAUMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5774) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6842) |
Enumeration Date | 2015-04-22 |
Last Update Date | 2022-12-23 |