NPI | 1245755545 |
---|---|
Former Name | LYNIECE SERVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1901207) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH C1200473) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2022-08-31 |