NPI | 1669617155 |
---|---|
Former Name | KAREN E FRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 6399) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-12-11 |
Last Update Date | 2018-10-26 |