| NPI | 1124654785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61453581) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61453581) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-11-03 |