NPI | 1225493067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901291) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1500233) |
Enumeration Date | 2015-12-21 |
Last Update Date | 2020-10-12 |