NPI | 1083104152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c.1801517) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M.1700073-TRNE) |
Enumeration Date | 2018-05-15 |
Last Update Date | 2023-07-03 |