NPI | 1326409277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000452-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E 1000452) |
Enumeration Date | 2016-03-18 |
Last Update Date | 2023-12-12 |