NPI | 1669807434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1200124) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200124) |
Enumeration Date | 2013-09-11 |
Last Update Date | 2016-08-30 |