NPI | 1679247829 |
---|---|
Former Name | NINA SIEMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 88308) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.017119) |
Enumeration Date | 2021-08-02 |
Last Update Date | 2023-11-09 |