| NPI | 1013266865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60153681) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60249618) |
| 101Y00000X Counselor (Licence: WA CG60153681) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2013-09-18 |