| NPI | 1710385067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA Mc60624596) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60704002) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2021-01-12 |