| NPI | 1174253918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: ID LPC-9072) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ID COUI-8935) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2022-08-24 |