NPI | 1477176717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2103406) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2020-05-21 |
Last Update Date | 2021-07-06 |