NPI | 1407460280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2506899) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 354879) |
175T00000X Peer Specialist (Licence: OH 0001699) | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2025-05-05 |