| NPI | 1265064430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2406188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.216628) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304846-TRNE) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-06-27 |