NPI | 1316595895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2002888) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1901943-TRNE) |
Enumeration Date | 2019-08-28 |
Last Update Date | 2020-09-08 |