| NPI | 1164163846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.019690) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-05-29 |