NPI | 1407345689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1902021) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800802-TRNE) |
Enumeration Date | 2018-05-03 |
Last Update Date | 2022-03-15 |