| NPI | 1114816352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR T1928) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T1928) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |