| NPI | 1851642391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: WA CG60280087) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2022-07-07 |