| NPI | 1477190825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303836) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2103332) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1902081-TRNE) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2023-10-19 |