NPI | 1487953493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2303552) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH C0600624) |
Enumeration Date | 2011-03-17 |
Last Update Date | 2023-06-21 |