| NPI | 1942854054 |
|---|---|
| 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 |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2020-10-26 |