| NPI | 1912774431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 097.0135891) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VT 097.0135891) |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2025-12-19 |