NPI | 1104243641 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.10000327-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C. 1000571) |
Enumeration Date | 2014-03-22 |
Last Update Date | 2022-11-11 |