NPI | 1104214824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E. 1200549) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E. 1200549) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2015-01-05 |
Last Update Date | 2024-03-13 |