| NPI | 1295401495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0704014150) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704014150) |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |