| NPI | 1033275375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA PSB94024733) |
| Additional Taxonomies | 251S00000X |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2024-09-25 |