| NPI | 1720770837 |
|---|---|
| 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 390200000X) |
| 101Y00000X Counselor (Licence: WA CG61450519) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2024-02-08 |