| NPI | 1457015810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD A0689) |
| 103T00000X Psychologist (Licence: MD A0689) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2023-06-27 |