NPI | 1457429656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0008186-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C-0008186) |
Enumeration Date | 2006-12-04 |
Last Update Date | 2021-02-25 |