NPI | 1952821761 |
---|---|
Former Name | EMILY DAWN GRIFFES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6401017610) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401016151) |
Enumeration Date | 2017-06-22 |
Last Update Date | 2019-09-03 |