| NPI | 1932666534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7866-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 4318226) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2022-04-26 |