NPI | 1194572131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2406717) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2405771-TRNE) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2025-01-02 |