| NPI | 1073219515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61380183) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG61380183) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-04-25 |