| NPI | 1487073599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 251S00000X | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-06-27 |