NPI | 1508690066 |
---|---|
Other Name | GRACIE HALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 21165) |
Additional Taxonomies | 104100000X Social Worker (Licence: OK 21165) |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |