NPI | 1841877123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61203005) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
101Y00000X Counselor (Licence: WA CG61162816) | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2023-10-27 |