| NPI | 1245125731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 8850-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20981-130) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2026-01-22 |