NPI | 1699328385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102583) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1700439-TRNE) |
Enumeration Date | 2019-07-22 |
Last Update Date | 2022-05-24 |