NPI | 1184323925 |
---|---|
Former Name | ADRIAN PRUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7277-226) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.2204685) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2024-02-15 |