NPI | 1104252980 |
---|---|
Former Name | DANIELA DAFNE CANAVAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013070) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 14302) |
Enumeration Date | 2013-09-24 |
Last Update Date | 2016-08-26 |