NPI | 1629365879 |
---|---|
Former Name | SHAYE NICOLE ONSTOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012830) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0012830) |
101Y00000X Counselor (Licence: MO 2011013737) | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2017-09-20 |