NPI | 1326415654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102450) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1500508-TRNE) |
101YM0800X Counselor, Mental Health (Licence: 834751) | |
101YM0800X Counselor, Mental Health (Licence: MO 2021018465) | |
Enumeration Date | 2015-08-21 |
Last Update Date | 2022-07-06 |