NPI | 1275952640 |
---|---|
Former Name | PATRICE ROBINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.010346) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.006929) |
Enumeration Date | 2014-04-14 |
Last Update Date | 2016-06-26 |