NPI | 1750534632 |
---|---|
Former Name | MARTA ELIZABETH ROOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60967434) |
Additional Taxonomies | 372600000X Adult Companion |
Enumeration Date | 2008-10-23 |
Last Update Date | 2022-10-14 |