NPI | 1992106934 |
---|---|
Former Name | DIANA CAPOUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2014-09-09 |
Last Update Date | 2018-01-25 |