| NPI | 1235517814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60562330) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-02-17 |