NPI | 1770076432 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1800992-TRNE) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1800992.TRNE) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2019-10-15 |