NPI | 1467901090 |
---|---|
Former Name | DAINA LEIGH SUTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC010590) |
101Y00000X Counselor (Licence: MI 6401224010) | |
Enumeration Date | 2016-09-23 |
Last Update Date | 2025-02-04 |