| NPI | 1861105025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61411567) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-04-20 |