NPI | 1609651066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2304980.TRNE) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-11-30 |