| NPI | 1477126308 |
|---|---|
| Former Name | ANASTASIA HADIPUTRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10487125) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-03-27 |