| NPI | 1962015610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 8202020) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2025-02-13 |