| NPI | 1578373684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2608291) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2406442-TRNE) |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2026-07-27 |