NPI | 1710098611 |
---|---|
Other Name | SHENANDOAH CARDWELL CONSTANTINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: NCC Cert # 22818) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-001256) |
101YP2500X Counselor, Professional (Licence: WI 2906-125) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2025-09-11 |