| NPI | 1790473817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61442004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61445805) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-07-05 |