NPI | 1235636234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404795) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901732) |
101YP2500X Counselor, Professional (Licence: OH C.1901732) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2024-10-15 |