NPI | 1679075444 |
---|---|
Former Name | OLENA SOWERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203253) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 20970) |
101YM0800X Counselor, Mental Health (Licence: WA LH61419474) | |
101YP2500X Counselor, Professional (Licence: CO LPC.0020818) | |
Enumeration Date | 2018-03-07 |
Last Update Date | 2025-04-16 |