NPI | 1962781765 |
---|---|
Former Name | JAMIE LYNN DAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WY 1373) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WY PPC-599) |
Enumeration Date | 2011-08-10 |
Last Update Date | 2024-08-20 |