| NPI | 1053951160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61438845) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61163891) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-07-12 |