| NPI | 1104401215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61507043) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61289463) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2024-04-26 |