| NPI | 1184816597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DE C1-0010258) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA LNmt191093) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2013-01-10 |