NPI | 1356676456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0007961-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0007961) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2021-04-14 |