| NPI | 1194756270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: AR P1304039) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-04-03 |