| NPI | 1174990816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 0) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2022-07-21 |