NPI | 1770724213 |
---|---|
Former Name | ABBY LOU STEWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 4496) |
Enumeration Date | 2009-03-12 |
Last Update Date | 2021-01-25 |