NPI | 1679874200 |
---|---|
Former Name | AMANDA E. REDWINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.0900083) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C0900083) |
Enumeration Date | 2010-11-12 |
Last Update Date | 2021-03-26 |