| NPI | 1962060087 |
|---|---|
| Former Name | ELLEN KRAJCIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1500289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1500289) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-07-30 |