| NPI | 1265151039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2204193-TRNE) |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-10-31 |