NPI | 1376119909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61187563) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61189192) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-21 |