NPI | 1851595540 |
---|---|
Former Name | DIANE JOYCE LATHROP |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OR C2830) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2830) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2019-12-26 |