NPI | 1558764175 |
---|---|
Professional Name | ANNIE. GORRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2013024555) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 02975) |
Enumeration Date | 2014-09-28 |
Last Update Date | 2022-07-27 |