| NPI | 1912403510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2303797-SUPV) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2002275-TRNE) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-12-02 |