NPI | 1881045102 |
---|---|
Former Name | WHITNEY DEGRAFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: FL MH16130) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2016-06-28 |
Last Update Date | 2024-01-17 |