| NPI | 1821586504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C2103747) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161361) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2002217-Trne) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2021-10-22 |