NPI | 1235771791 |
---|---|
Former Name | GIANINA M SHIRATO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020001230) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 00000) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2024-07-25 |