| 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 |