| NPI | 1437718624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 4160-226) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 4160-226) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 4160-226) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-06-24 |