NPI | 1467010983 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2505001) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1901629-TRNE) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2025-01-08 |