NPI | 1790455293 |
---|---|
Former Name | POLLY ANN FRENCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451017485) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401017485) |
Enumeration Date | 2021-09-16 |
Last Update Date | 2024-02-07 |