NPI | 1649490368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001659) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C1500123) |
101YM0800X Counselor, Mental Health (Licence: OH C1500123) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-02-25 |