NPI | 1629388269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0602011-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0602011) |
Enumeration Date | 2010-10-18 |
Last Update Date | 2014-12-30 |