NPI | 1245663095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 5711) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.0900349) |
Enumeration Date | 2013-08-15 |
Last Update Date | 2018-03-17 |