NPI | 1447551056 |
---|---|
Former Name | SHIRLEY MARIE BRIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010040446) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2010-11-12 |
Last Update Date | 2013-06-07 |