| NPI | 1699928937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC60018186) |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2018-03-17 |