NPI | 1912281387 |
---|---|
Former Name | RITA JOY PURYEAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1603030) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1108085) |
Enumeration Date | 2011-10-04 |
Last Update Date | 2016-06-21 |