| NPI | 1811523558 |
|---|---|
| Former Name | DOMINIQUE RENE BICKEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103239) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH APP-000333305) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2021-03-19 |