NPI | 1487893020 |
---|---|
Professional Name | JOAN SHUTTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 501) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OK 818) |
Enumeration Date | 2009-02-04 |
Last Update Date | 2009-02-04 |