| NPI | 1114499639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61436752) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60987848) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-05-22 |