NPI | 1144784208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH CDCA141779) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-01-23 |
Last Update Date | 2019-01-23 |