| NPI | 1508477662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 373H00000X Day Training/Habilitation Specialist | |
| 172V00000X Community Health Worker | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2025-12-10 |