| NPI | 1194445254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2607476) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304561-TRNE) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2026-08-19 |