| NPI | 1831231422 |
|---|---|
| Former Name | EMILIE JEAN WADDELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1125) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2010-02-16 |