NPI | 1295493906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61383403) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101Y00000X Counselor (Licence: WA CG61245234) | |
Enumeration Date | 2021-11-30 |
Last Update Date | 2024-02-08 |