| NPI | 1528587094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2404323) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor Mental Health (Licence: OH C.2103414) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-05-22 |