NPI | 1295333557 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: E.2203258-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2203258) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health (Licence: OH 2002999) | |
Enumeration Date | 2020-10-09 |
Last Update Date | 2024-01-11 |