| NPI | 1306237169 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-02-13 | 
| Last Update Date | 2020-02-07 |