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 |