| NPI | 1629640065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61649271) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-05-22 |