NPI | 1487209169 |
---|---|
Former Name | KENZIE P TROXELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39004267A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 88001036A) |
Enumeration Date | 2019-08-08 |
Last Update Date | 2022-08-19 |