NPI | 1548540545 |
---|---|
Former Name | VANESSA LYNN MARKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C3358) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2018-03-17 |