NPI | 1508371378 |
---|---|
Professional Name | AUDRA MARIE HARRIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010984) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180010894) |
Enumeration Date | 2017-12-02 |
Last Update Date | 2024-09-07 |