NPI | 1861720518 |
---|---|
Former Name | GALINA STORCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00888) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 4307-125) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2012-05-18 |