| NPI | 1952763427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1700410) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.1500898-TRNE) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2019-06-11 |