| NPI | 1306340716 |
|---|---|
| Former Name | VERONICA LOUISE PAYANOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.013540) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.013645) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2021-05-20 |