NPI | 1932589348 |
---|---|
Former Name | GABRIELA MANCE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC011768) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1800559) |
101Y00000X Counselor | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2021-10-22 |