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 |