| NPI | 1902676869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2506720) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C2305249-TRNE) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2025-01-03 |