| NPI | 1801654611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2406676) |
| Additional Taxonomies | 101Y00000X Counselor |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2405617-TRNE) | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2025-02-13 |