| NPI | 1942726062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11179) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2020-08-17 |