| NPI | 1386011260 |
|---|---|
| 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 (Licence: NY 009964) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2021-10-04 |