| NPI | 1124598388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1902079) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1801362-TRNE) |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2021-02-16 |