| NPI | 1164973244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60871044) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA MC60871044) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2019-03-29 |