NPI | 1447766324 |
---|---|
Former Name | ANN BARBARA DUNLAP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OR T0848) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 38425) |
Enumeration Date | 2017-12-14 |
Last Update Date | 2017-12-14 |