| NPI | 1619533122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60960679) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NM CCMH0199811) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-08-16 |