| NPI | 1427646728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C2204245) |
| Additional Taxonomies | 376J00000X Homemaker |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2002844-TRNE) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-05-26 |