NPI | 1811392319 |
---|---|
Former Name | GINA M LEONARDELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WI 5450) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5450-125) |
Enumeration Date | 2014-10-27 |
Last Update Date | 2018-09-14 |