NPI | 1548548670 |
---|---|
Former Name | MADELON ELEY WATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012324) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2011-07-22 |
Last Update Date | 2016-03-14 |