NPI | 1457704405 |
---|---|
Former Name | BECKY L GROVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 11243997-6004) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID LPC-6808) |
101YP2500X Counselor, Professional (Licence: WY LPC-1862) | |
101YP2500X Counselor, Professional (Licence: WY PPC-1001) | |
Enumeration Date | 2016-07-14 |
Last Update Date | 2021-08-18 |