NPI | 1346307022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 3789) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E-0003844) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2023-01-06 |