| NPI | 1609527449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2304881) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 2103642-TRNE) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2023-10-09 |