| NPI | 1518671163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61235226) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61398157) |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-08-11 |