NPI | 1205266418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1700150-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1200276-CR) |
Enumeration Date | 2013-11-25 |
Last Update Date | 2020-03-12 |