NPI | 1396369534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2404905) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2204714) |
101YP2500X Counselor, Professional (Licence: OH C.2204714) | |
Enumeration Date | 2020-06-03 |
Last Update Date | 2025-01-28 |