| NPI | 1659832459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60918752) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2020-12-23 |