NPI | 1528506227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800999) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1600647) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2024-06-21 |