NPI | 1669922894 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA ROETGERMAN Owner 419-628-0124 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008510) |
Enumeration Date | 2016-10-12 |
Last Update Date | 2016-10-12 |