Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 312386 | MD |
NPI | 1023788056 |
---|---|
Provider Name | Heidi Irene Trammell |
First Address | Odenton, MD 21113-1501 |
Second Address | Odenton, MD 21113-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2021 |
Last Update Date | 21/09/2021 |