NPI | 1164740668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200026) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0500063) |
Enumeration Date | 2010-05-07 |
Last Update Date | 2022-06-16 |