NPI | 1891459269 |
---|---|
Former Name | COLLINS HARTFIELD MOUNGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020036830) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 2020036830) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2022-11-16 |