NPI | 1700969136 |
---|---|
Other Name | LENNIE AMBERS HOWARD |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AL 633) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL L79) |
Enumeration Date | 2006-10-21 |
Last Update Date | 2007-07-08 |