NPI | 1578899019 |
---|---|
Former Name | MELLANY ANN NOWLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3133) |
Enumeration Date | 2009-10-18 |
Last Update Date | 2014-12-31 |