NPI | 1477116259 |
---|---|
Former Name | LAURA ASHLEY BEDENBAUGH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC 8279) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-04-17 |
Last Update Date | 2025-08-27 |