NPI | 1093374720 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA169545) |
Enumeration Date | 2019-06-06 |
Last Update Date | 2019-06-06 |