NPI | 1780142422 |
---|---|
Former Name | ANDREA BURROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P2103171) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1901010) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2021-03-31 |