NPI | 1619487956 |
---|---|
Former Name | ABBEY DAVIS STOREY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015917) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.013075) |
225C00000X Rehabilitation Counselor (Licence: 00229815) | |
Enumeration Date | 2017-09-30 |
Last Update Date | 2024-03-20 |