NPI | 1053735860 |
---|---|
Former Name | VIKTORIYA BODNAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC5430) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2014-02-13 |
Last Update Date | 2022-07-21 |