NPI | 1760021471 |
---|---|
Other Name | BETH PAYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NC A14992) |
Additional Taxonomies | 101YS0200X Counselor School (Licence: NC 948595) |
Enumeration Date | 2019-12-27 |
Last Update Date | 2019-12-27 |