| NPI | 1598396798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 265832) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY 281761) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2022-12-12 |