NPI | 1104436807 |
---|---|
Former Name | IVA ANDONOVSKA WIGGET |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.015809) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.016052) |
Enumeration Date | 2020-08-06 |
Last Update Date | 2024-02-16 |