Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 370136 | NM |
NPI | 1225400773 |
---|---|
Provider Name | Elizabeth Wiygul Love |
First Address | Lovington, NM 88260-4023 |
Second Address | Lovington, NM 88260-4023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2015 |
Last Update Date | 23/10/2015 |