| NPI | 1508162256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH15774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60255685) |
| 101YP2500X Counselor, Professional (Licence: WA LH60613507) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2019-10-07 |