| 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 |