NPI | 1740683564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401017644) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E. 1200475) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2022-04-29 |