NPI | 1639429335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 103061) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 1438) |
101YP2500X Counselor, Professional (Licence: OH E.0004240-SUPV) | |
Enumeration Date | 2012-09-11 |
Last Update Date | 2024-08-12 |