| NPI | 1891339800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2002925) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1901680-TRNE) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2021-03-20 |