NPI | 1801176318 |
---|---|
Former Name | DENISE MARIE GUENETTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180007893) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 180007893) |
101YS0200X Counselor School (Licence: IL 2336141) | |
Enumeration Date | 2011-08-29 |
Last Update Date | 2011-08-29 |