NPI | 1548755036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102646-SUPV) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700791) |
101YM0800X Counselor, Mental Health (Licence: OH E.2102646) | |
Enumeration Date | 2018-06-27 |
Last Update Date | 2024-11-19 |