NPI | 1558455345 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0001295) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I-0003491) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |