NPI | 1124591391 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60818472) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA CG60818472) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60818472) | |
Enumeration Date | 2019-01-09 |
Last Update Date | 2021-03-19 |