| NPI | 1972125821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.2404016) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.2404016) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2024-03-20 |