NPI | 1194994525 |
---|---|
Former Name | DEBORAH SLAVIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc01130) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 2696-125) |
Enumeration Date | 2008-02-29 |
Last Update Date | 2023-01-13 |