NPI | 1285027052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700257-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400402-TRNE) |
Enumeration Date | 2015-03-18 |
Last Update Date | 2020-10-09 |