NPI | 1942966619 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404585) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2002893-TRNE) |
101Y00000X Counselor (Licence: OH C.2204349) | |
Enumeration Date | 2021-11-16 |
Last Update Date | 2024-08-12 |