NPI | 1013405190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.21021671-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800833-TRNE) |
Enumeration Date | 2018-04-25 |
Last Update Date | 2023-08-11 |