NPI | 1194750851 |
---|---|
Former Name | IRENE LOURDES CHMIELINSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: RI MHC00435) |
Additional Taxonomies | 101Y00000X Counselor (Licence: RI C127) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2013-10-03 |