| NPI | 1457991366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH c2204381) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 1457991366) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2022-07-14 |