| NPI | 1316787344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CDPT.CO.70098937) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG.61575685) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2026-08-10 |