NPI | 1053089094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2505043) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204280) |
101YP2500X Counselor, Professional (Licence: OH C.2204280) | |
Enumeration Date | 2021-09-03 |
Last Update Date | 2025-01-28 |