NPI | 1467122705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204679) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103484-TRNE) |
Enumeration Date | 2021-09-17 |
Last Update Date | 2022-10-17 |