| NPI | 1558962852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61062998) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG61062998) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2021-03-10 |