| NPI | 1700230885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 010723) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA APC005388) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-05-16 |