NPI | 1801270616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1400143) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.1700347) |
101YP2500X Counselor, Professional (Licence: OH E.1700347) | |
Enumeration Date | 2015-07-13 |
Last Update Date | 2020-09-23 |