| NPI | 1134657414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1801326) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C1600658TRNE) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2019-11-19 |