NPI | 1154085595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2204172) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2103444-TRNE) |
Enumeration Date | 2021-10-22 |
Last Update Date | 2022-06-16 |