NPI | 1245561562 |
---|---|
Former Name | ANNETTE BRAZIL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP1067) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.007689) |
101YP2500X Counselor, Professional (Licence: CA LPCC10742) | |
Enumeration Date | 2010-01-26 |
Last Update Date | 2023-01-06 |