| NPI | 1902458102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61125542) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60985142) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60976384) | |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-10-08 |