NPI | 1245584341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0007917-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0007917-SUPV) |
Enumeration Date | 2012-10-29 |
Last Update Date | 2018-10-22 |