NPI | 1952477606 |
---|---|
Former Name | BERNADETTE MARY CHLOPAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401005500) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301010268) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2007-07-08 |