| NPI | 1588282792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14191) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC012307) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2024-06-17 |