NPI | 1811353824 |
---|---|
Former Name | KATARINA ILIOSKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MI 6401008279) |
Additional Taxonomies | 101YS0200X Counselor School (Licence: MI 0000259) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-01-06 |