| NPI | 1164120192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406450) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304665) | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-09-03 |