NPI | 1356915326 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2204215) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2103225-TRNE) |
Enumeration Date | 2021-05-14 |
Last Update Date | 2022-05-26 |