| NPI | 1649825399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2203230) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1901846-TRNE) |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2022-12-06 |