| NPI | 1629818331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2405804-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA-187783) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2405804-TRNE) | |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |