| NPI | 1548023013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2506733) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2305168-TRNE) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-01-30 |