| NPI | 1003440546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 131300) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-01-12 |