| NPI | 1609343540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 111832) |
| Additional Taxonomies | 247200000X Technician, Other |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2022-11-08 |