| NPI | 1891364808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7694) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-07-07 |