NPI | 1417421801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1902333) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1801120-TRNE) |
Enumeration Date | 2019-01-18 |
Last Update Date | 2020-03-26 |