NPI | 1508332206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2002954) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH c.2002954) |
251S00000X (Licence: OH C.1801334-TRNE) | |
Enumeration Date | 2018-10-19 |
Last Update Date | 2021-07-22 |