| NPI | 1962030395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.2404182) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2024-03-22 |