| NPI | 1922656446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2303673) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1901810-TRNE) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-08-02 |