| NPI | 1174088710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2203117) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH C.2002922) |
| 251S00000X Community/Behavioral Health | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2022-09-19 |