NPI | 1912399122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E1800546) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E1800546) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2023-08-23 |