| NPI | 1811487986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102555) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1800956-TRNE) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-01-11 |