| NPI | 1508420050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2103829) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1901686-TRNE) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2022-04-22 |