| NPI | 1639839004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: NY 591893) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |