NPI | 1457104697 |
---|---|
Former Name | CAROLYN HURLBUT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 200118460) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA 200118460) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-04-08 |