NPI | 1023582848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 80034) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700738) |
Enumeration Date | 2019-01-15 |
Last Update Date | 2019-01-15 |