| NPI | 1053880252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 60973828) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2019-08-07 |