| NPI | 1649558057 |
|---|---|
| Former Name | JUDY ROYCE GILLISPIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4495) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 58510) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-16 |