NPI | 1689089161 |
---|---|
Former Name | CORI DURAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1952) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2014-06-24 |
Last Update Date | 2024-05-02 |