NPI | 1629585872 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2102309-SUPV) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.2102309) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2023-10-06 |