| NPI | 1144923970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406223) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2204482-TRNE) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-08-12 |