NPI | 1801976634 |
---|---|
Former Name | STEPHANIE L BIRNBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E0007819) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E0007819) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2014-10-23 |