| NPI | 1346631488 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303717) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2303717) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2024-12-18 |