| NPI | 1861167512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.019590) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: none) |
| Enumeration Date | 2021-08-14 |
| Last Update Date | 2024-02-09 |