NPI | 1164979985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH CDCA.151925) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2016-09-09 |
Last Update Date | 2016-09-09 |