NPI | 1548619430 |
---|---|
Former Name | KACIE ESTES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2015032006) |
Additional Taxonomies | 101YS0200X Counselor, School |
Enumeration Date | 2016-06-10 |
Last Update Date | 2016-06-10 |