NPI | 1427543057 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016151) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E.1800800) |
101Y00000X Counselor (Licence: OH C.1500450) | |
Enumeration Date | 2018-06-26 |
Last Update Date | 2023-08-11 |