| NPI | 1528656428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2204395) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2103001TRNE) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2023-01-16 |