NPI | 1477926160 |
---|---|
Former Name | KWANJULYNN NORWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL LPC04143) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 239719) |
101YP2500X Counselor, Professional (Licence: MI 6401222478) | |
Enumeration Date | 2015-11-04 |
Last Update Date | 2024-10-16 |