Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003160367 |
---|---|
Provider Name | Wendy Wimmer |
First Address | Hamilton, OH 45011-3305 |
Second Address | Hamilton, OH 45011-3305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2012 |
Last Update Date | 07/11/2012 |