NPI | 1538381439 |
---|---|
Other Name | PAULA ANN FULTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0003210SUPV) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OH LD861) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |