NPI | 1467077198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0021556) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2002406-TRNE) |
101YP2500X Counselor, Professional (Licence: OH E.2404562) | |
Enumeration Date | 2020-06-09 |
Last Update Date | 2024-12-02 |