| NPI | 1437624111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH6L287441) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61018064) |
| 101Y00000X Counselor (Licence: WA CG61086898) | |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2022-04-25 |