NPI | 1730416348 |
---|---|
Other Name | THERESA ANN CORDERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR c2127) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00011236) |
Enumeration Date | 2009-11-03 |
Last Update Date | 2010-12-29 |