NPI | 1174984223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1300004-SUPV) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E.1300004-SUPV) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |