NPI | 1679977334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700153) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1200012-CR) |
Enumeration Date | 2014-10-09 |
Last Update Date | 2017-04-28 |