NPI | 1346435286 |
---|---|
Former Name | BELEN MARIE CONNELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010003) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401010003) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2023-10-24 |