| NPI | 1376126896 |
|---|---|
| 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: CA Y2310109) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-08-17 |