NPI | 1942674528 |
---|---|
Former Name | MONICA C PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2687-226) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 7118-125) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2018-12-13 |