NPI | 1730690033 |
---|---|
Former Name | JESSICA BATTAGLIA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6451019383) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MI 6401019383) |
156F00000X Technician/Technologist | |
Enumeration Date | 2017-10-13 |
Last Update Date | 2021-07-26 |