NPI | 1467757120 |
---|---|
Former Name | KEA' S. GOODINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MO 2010039209) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-01-11 |
Last Update Date | 2011-11-09 |