| NPI | 1265004717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO CSW09929520) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO SWC.0000000379) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-05-14 |