NPI | 1497152698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 16635) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2102125) |
101Y00000X Counselor (Licence: OH C.1801072) | |
Enumeration Date | 2014-12-03 |
Last Update Date | 2022-01-07 |