NPI | 1598018285 |
---|---|
Former Name | SUSAN MYERS TWYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 8626) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC A8626) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2023-07-22 |