| NPI | 1881261782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG61478624) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61407172) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-01-02 |