| NPI | 1043812712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9297) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: OR C9297) | |
| 101Y00000X Counselor (Licence: OR R7761) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2025-03-05 |