NPI | 1649347063 |
---|---|
Former Name | PENNY L AYRES AMARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005356) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-005356) |
101YP2500X Counselor, Professional (Licence: FL MH19201) | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-02-26 |