| NPI | 1801246707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 3358) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-10-11 |