| NPI | 1104581917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 1104581917) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 390200000) |
| Enumeration Date | 2021-11-05 |
| Last Update Date | 2022-04-14 |