NPI | 1407441777 |
---|---|
Former Name | NANCY MARIE GASKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: CA 9320) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 9320) |
Enumeration Date | 2021-03-08 |
Last Update Date | 2023-06-29 |