| NPI | 1902360514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2304785) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2103686-TRNE) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-01-09 |