NPI | 1053945485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2303381-SUPV) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.2103076) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1902095-TRNE) | |
Enumeration Date | 2020-02-25 |
Last Update Date | 2024-03-13 |