| NPI | 1669618385 |
|---|---|
| Former Name | SHIRLEY ANN OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 3045) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3045) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2011-06-21 |