NPI | 1043770597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203134-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2203134) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-12-13 |