NPI | 1558619676 |
---|---|
Former Name | LINDSAY DVORAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1800819) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1000176) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2020-07-20 |