| NPI | 1902256662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO 39) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 390200000) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-16 |