| NPI | 1811872427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61619335) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CAAR.CG61679863) |
| Enumeration Date | 2025-08-11 |
| Last Update Date | 2025-08-11 |