| NPI | 1720791791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61688628) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61271140) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2026-04-06 |