NPI | 1750635678 |
---|---|
Former Name | JONNA SCHNORF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017416) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-1756) |
101YP2500X Counselor, Professional (Licence: WY LPC-1756) | |
Enumeration Date | 2012-10-30 |
Last Update Date | 2023-06-09 |