| NPI | 1154092500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-01-19 |