NPI | 1932556248 |
---|---|
Former Name | CELI ANDRADA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 17488) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WV 1442) |
101YP2500X Counselor, Professional (Licence: FL MH18538) | |
Enumeration Date | 2016-05-17 |
Last Update Date | 2022-04-20 |