NPI | 1174252506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2505258) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C2304800) |
101YM0800X Counselor Mental Health (Licence: OH C.210366641-TRNE) | |
Enumeration Date | 2022-06-09 |
Last Update Date | 2025-04-29 |