NPI | 1104360601 |
---|---|
Former Name | CATHERINE GILLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1901259-SUPV) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2016-12-19 |
Last Update Date | 2024-02-27 |