NPI | 1821337635 |
---|---|
Former Name | DENISE FANNY BARTLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401013423) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401013423) |
Enumeration Date | 2013-02-14 |
Last Update Date | 2025-02-19 |