NPI | 1134417744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002178-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.0002178-SUPV) |
101YM0800X Counselor, Mental Health (Licence: OH E.0002178-SUPV) | |
Enumeration Date | 2011-07-16 |
Last Update Date | 2018-10-03 |