| NPI | 1316455413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 110791) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2023-01-04 |