NPI | 1902812720 |
---|---|
Other Name | AUDREY BERDESKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401011113) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MI 2301005380) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2014-03-31 |