| NPI | 1487305827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH C.2103650-TRNE) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-06-22 |