NPI | 1487148391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1902189) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH APP-000164820) |
Enumeration Date | 2018-06-15 |
Last Update Date | 2021-06-06 |