| NPI | 1205484672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2404001) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1901919-TRNE) |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2025-01-30 |