| NPI | 1790275782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1901641) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1901641) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2021-03-22 |