NPI | 1659762300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700084) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C 1400578) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2021-01-05 |