NPI | 1922264852 |
---|---|
Former Name | HEATHER SUMRELL MCCONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5432) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2008-07-30 |
Last Update Date | 2013-02-21 |