NPI | 1902431133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2203010-SUPV) |
Additional Taxonomies | 101YP2500X Counselor Professional (Licence: IN 39004513A) |
101YP2500X Counselor Professional (Licence: KY 279235) | |
Enumeration Date | 2020-03-09 |
Last Update Date | 2024-08-20 |