| NPI | 1962966028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002696) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional (Licence: OH 2002696) | |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2021-06-20 |