| NPI | 1275009987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60859353) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60859353) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-01-22 |