| NPI | 1851770697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA 60559050) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61691479) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2025-09-09 |