NPI | 1518141167 |
---|---|
Former Name | JANISE CHARMAINE KAUFMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC005753) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 278367 NCC) |
101YP2500X Counselor, Professional (Licence: OH E.0500704) | |
Enumeration Date | 2007-12-18 |
Last Update Date | 2012-04-23 |