| NPI | 1578177853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178018385) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 84806) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2023-05-15 |