| NPI | 1487193009 |
|---|---|
| Former Name | JILL OETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901290) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1500151) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2019-07-11 |