NPI | 1346797222 |
---|---|
Former Name | ELIZABETH SKOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0800274-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2016-09-08 |
Last Update Date | 2022-06-14 |