NPI | 1144593278 |
---|---|
Former Name | DEANNA M. VODENICHAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E1000658) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C1000658) |
Enumeration Date | 2012-02-21 |
Last Update Date | 2015-07-23 |