NPI | 1467956573 |
---|---|
Former Name | JAIMIE LEE WALKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2596) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TN 4182) |
Enumeration Date | 2018-03-22 |
Last Update Date | 2023-09-24 |