| 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 |