NPI | 1316481260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.210562) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1400486) |
Enumeration Date | 2016-12-12 |
Last Update Date | 2023-02-10 |