NPI | 1457898546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1200558) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 101YP2500X) |
Enumeration Date | 2017-01-26 |
Last Update Date | 2021-05-12 |