NPI | 1316291669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1700489) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1200072-TRNE) |
101YP2500X Counselor, Professional (Licence: OH C 1200072) | |
Enumeration Date | 2012-11-07 |
Last Update Date | 2018-01-23 |