NPI | 1891356390 |
---|---|
Former Name | JANE BERNADETTE SIBI PROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60978624) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60978624) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2021-04-12 |