NPI | 1427577725 |
---|---|
Former Name | LINDLEY ANNE DENNIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7564-125) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0015106) |
Enumeration Date | 2017-09-18 |
Last Update Date | 2025-04-21 |