NPI | 1700366382 |
---|---|
Other Name | ANNA MARILYN WILLOUGHBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
Enumeration Date | 2018-08-14 |
Last Update Date | 2020-08-25 |