NPI | 1598201691 |
---|---|
Former Name | AYLA BADELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14874) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MD LGP6174) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2024-04-25 |