NPI | 1447019559 |
---|---|
Former Name | MIRANDA J PERKINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2024-03-19 |
Last Update Date | 2024-03-19 |