NPI | 1194347328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303530) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002429) |
101YP2500X Counselor, Professional (Licence: OH C.2103173) | |
Enumeration Date | 2020-05-11 |
Last Update Date | 2023-12-07 |