NPI | 1790271054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2404205) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2204000) |
101Y00000X Counselor (Licence: C.2002907-TRNE) | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-04-03 |