NPI | 1932479581 |
---|---|
Former Name | DARICE MARIE MCDUFFIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2012041490) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC005976) |
Enumeration Date | 2012-01-12 |
Last Update Date | 2014-02-19 |