NPI | 1689166043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203147) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1901917) |
101Y00000X Counselor (Licence: OH C.1901917) | |
Enumeration Date | 2018-06-01 |
Last Update Date | 2022-10-07 |