| NPI | 1720761109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CU70042691) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC17110) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2025-10-30 |