NPI | 1578767109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002883-S) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH E-0002883) |
101Y00000X Counselor (Licence: TX 62785) | |
101YM0800X Counselor, Mental Health (Licence: NM 0129471) | |
Enumeration Date | 2007-06-14 |
Last Update Date | 2023-06-22 |