| NPI | 1053543264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60236505) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60236505) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60231188) | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-05-30 |