| NPI | 1831763358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO 0020358) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0019201) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-03-26 |