| NPI | 1215212907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 34836) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2016-12-07 |