NPI | 1437563046 |
---|---|
Former Name | LISHA DROUIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008463) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401014453) |
101Y00000X Counselor | |
Enumeration Date | 2014-06-12 |
Last Update Date | 2021-05-24 |