NPI | 1629377510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1000132) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1000132-TRNE) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2018-05-30 |