NPI | 1932714375 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.014962) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2303429) |
Enumeration Date | 2020-09-12 |
Last Update Date | 2024-12-06 |