NPI | 1801371372 |
---|---|
Former Name | KASSIDIE F BELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: ME CAC6711) |
Additional Taxonomies | 101Y00000X Counselor |
101Y00000X Counselor (Licence: ME CAC8174) | |
Enumeration Date | 2018-10-01 |
Last Update Date | 2022-07-25 |