| NPI | 1184059594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC 9344) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC A9344) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2018-05-16 |