NPI | 1104101476 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500182) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E 0500182) |
101Y00000X Counselor (Licence: OH E.0500182) | |
Enumeration Date | 2011-10-18 |
Last Update Date | 2012-05-21 |