NPI | 1508255829 |
---|---|
Former Name | ALEXANDRA AUDI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1800540-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1800540-SUPV) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2021-10-19 |