NPI | 1598111395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102347) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1500805-TRNE) |
Enumeration Date | 2016-05-11 |
Last Update Date | 2021-07-02 |