NPI | 1750195277 |
---|---|
Former Name | AMANDA MICHELLE KUNA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.021139) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: IL 1858465) |
Enumeration Date | 2025-02-04 |
Last Update Date | 2025-02-04 |