NPI | 1851632822 |
---|---|
Former Name | KRISTA JOZANOVIC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.1000063-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000063) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2021-03-02 |