Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A13123 | NC |
N | 101YS0200X | School Counselor | NC |
NPI | 1225547847 |
---|---|
Provider Name | Ms. Aimee Lititia Anderson |
First Address | Norlina, NC 27563-9554 |
Second Address | Warrenton, NC 27589-9631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2017 |
Last Update Date | 04/10/2017 |