NPI | 1720333784 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1000029) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: OH E.1000029) |
225100000X Physical Therapist (Licence: OH PT.005313) | |
Enumeration Date | 2012-07-16 |
Last Update Date | 2023-12-12 |