| NPI | 1245640077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60468291) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.60468291) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2019-06-25 |