| NPI | 1417549445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61082023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61082023) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-06-14 |