NPI | 1093162646 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1801374) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C-1700004 - TRNE) | |
Enumeration Date | 2016-05-24 |
Last Update Date | 2022-06-08 |