NPI | 1669410668 |
---|---|
Other Name | KRISHA SUE NIEMOTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NE 1936) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NE 1119) |
101Y00000X Counselor (Licence: NE 227) | |
Enumeration Date | 2006-06-02 |
Last Update Date | 2009-05-06 |