NPI | 1386767614 |
---|---|
Former Name | ANNE MARIE ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401006868) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 641006868) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2022-05-25 |