| NPI | 1235682568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-02-03 |