NPI | 1598932790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0600060.SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0600060) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2018-03-17 |