NPI | 1801562962 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2304853) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103560-TRNE) |
Enumeration Date | 2021-08-19 |
Last Update Date | 2023-08-23 |