NPI | 1679052385 |
---|---|
Other Name | DANA BURGHARDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102621-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.2102621-SUPV) |
Enumeration Date | 2018-08-13 |
Last Update Date | 2025-03-19 |