NPI | 1962835561 |
---|---|
Former Name | JILLIAN MICHELLE CASTELLANO, TORABPOUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 3698) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 64326) |
101YP2500X Counselor, Professional (Licence: WI 11227) | |
Enumeration Date | 2013-08-19 |
Last Update Date | 2024-09-18 |