| NPI | 1407627334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61520192) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2026-03-11 |