NPI | 1962167098 |
---|---|
Former Name | WHITNEY MCSHANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY LPC-2270) |
Enumeration Date | 2021-11-03 |
Last Update Date | 2025-01-23 |