NPI | 1619517117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103468) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002204-trne) |
Enumeration Date | 2020-01-13 |
Last Update Date | 2021-10-29 |