NPI | 1871033357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1901321) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500349) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2020-04-21 |