NPI | 1134716202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303918) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2303918) |
101Y00000X Counselor (Licence: OH E.2303918) | |
Enumeration Date | 2020-12-23 |
Last Update Date | 2024-10-26 |