NPI | 1265703821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0900322) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0900322) |
Enumeration Date | 2012-01-13 |
Last Update Date | 2024-11-07 |