| NPI | 1750268447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 7822-226) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-08-16 |
| Last Update Date | 2025-08-16 |