NPI | 1134193253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0003376) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9451) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2012-10-25 |