NPI | 1386453769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2406428-TRNE) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2406428-TRNE) |
Enumeration Date | 2024-12-31 |
Last Update Date | 2025-09-05 |