NPI | 1851999734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61107838) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
175T00000X Peer Specialist | |
Enumeration Date | 2020-10-13 |
Last Update Date | 2021-03-19 |