NPI | 1043849698 |
---|---|
Other Name | MANDI DEGNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 8772-125) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4352-226) |
Enumeration Date | 2020-04-06 |
Last Update Date | 2022-03-17 |