NPI | 1598305302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2002767) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1801381-TRNE) |
Enumeration Date | 2020-01-09 |
Last Update Date | 2022-04-27 |