NPI | 1235690975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204691) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 246148) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2022-11-11 |