NPI | 1083968754 |
---|---|
Former Name | DEIDRE L. STOHR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0800136) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0800136-CR) |
Enumeration Date | 2012-11-02 |
Last Update Date | 2014-11-04 |