NPI | 1306017447 |
---|---|
Former Name | CHRISTINE SUZANNE STICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 3712) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3712) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2024-05-15 |