NPI | 1578817086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1100328-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1100328) |
101YP2500X Counselor, Professional (Licence: OH E.11000328) | |
Enumeration Date | 2012-11-06 |
Last Update Date | 2023-02-08 |