NPI | 1992900492 |
---|---|
Former Name | PATRICE WANETTA DUMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007018861) |
Additional Taxonomies | 104100000X Social Worker |
251C00000X | |
101YP2500X Counselor, Professional | |
Enumeration Date | 2007-06-15 |
Last Update Date | 2024-05-20 |