NPI | 1528287992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0001795 SUPV) |
Additional Taxonomies | 102L00000X Psychoanalyst (Licence: OH E0001795) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |