NPI | 1952660938 |
---|---|
Other Name | MADONNA DEBLAUWE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11837) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9425217) |
Enumeration Date | 2012-05-10 |
Last Update Date | 2024-11-06 |