| NPI | 1932892734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2406066) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2304690-TRNE) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-08-07 |