NPI | 1699010496 |
---|---|
Former Name | LA SHAUNA CHARMAINE OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 7533) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2012-12-05 |
Last Update Date | 2023-02-16 |