| NPI | 1205704525 |
|---|---|
| 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: VT 097.0136563) |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2026-04-14 |