NPI | 1437712486 |
---|---|
Former Name | VERNA MICHELLE MONIQUE NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60960052) |
Enumeration Date | 2019-04-16 |
Last Update Date | 2020-06-24 |