NPI | 1013342302 |
---|---|
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 63416) |
Enumeration Date | 2013-09-05 |
Last Update Date | 2014-09-15 |