| NPI | 1932319522 |
|---|---|
| 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: CA PSB94025534) |
| 101YM0800X Counselor Mental Health (Licence: MA 8143) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-12-14 |