NPI | 1740509439 |
---|---|
Former Name | KIM M. JUENGLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY LPC-1816) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20168) |
Enumeration Date | 2010-05-20 |
Last Update Date | 2020-08-27 |