| NPI | 1417116336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60089692) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC00056004) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2009-07-01 |