NPI | 1235778952 |
---|---|
Former Name | DAWN MUSCOLINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 81854) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00498000) |
Enumeration Date | 2019-12-28 |
Last Update Date | 2024-01-22 |