| NPI | 1639506124 |
|---|---|
| Former Name | DAISY MARIELA WAUKAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60748230) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-08-04 |