NPI | 1467904656 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C1700189) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1600245TRNE) |
Enumeration Date | 2016-11-04 |
Last Update Date | 2021-10-06 |