| NPI | 1184344830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18-P121090-01) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2023-04-19 |