Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | ||
N | 101YS0200X | School Counselor |
NPI | 1154682177 |
---|---|
Provider Name | Mrs. Marla Lynn Hill |
First Address | Wilburton, OK 74578-4047 |
Second Address | Wilburton, OK 74578-4047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 06/06/2012 |