| 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 |