| NPI | 1316426158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P12295) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2020-11-04 |