| NPI | 1043812712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C9297) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R7761) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2025-01-02 |