Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 5588 | ID |
Y | 101YS0200X | School Counselor | 5588 | ID |
NPI | 1033542923 |
---|---|
Provider Name | Ms. Anna Howard |
First Address | Buhl, ID 83316-0012 |
Second Address | Buhl, ID 83316-1238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2013 |
Last Update Date | 24/11/2014 |