| NPI | 1386941946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: UT 3210386009) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: UT 321038-6009) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-07-21 |