| NPI | 1174910426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c.1500152) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH not licensed) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-02-11 |