NPI | 1326204702 |
---|---|
Former Name | RAZAN RETIZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2008-08-05 |
Last Update Date | 2021-07-06 |