NPI | 1902253354 |
---|---|
Former Name | VICTORIA DUDA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017284) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MI 6401013396) |
Enumeration Date | 2016-05-16 |
Last Update Date | 2019-11-21 |