| NPI | 1487326955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61369406) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2023-02-22 |