NPI | 1124613054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204104) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2002865) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2022-08-22 |