| NPI | 1417322769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61162141) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60897417) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60897417) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2023-09-21 |