| NPI | 1114529534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: UT 12497799-6004) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor, Professional (Licence: ME CC7220) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-10-05 |