| NPI | 1922340462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60580851) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health (Licence: WA 60411002) | |
| 101Y00000X Counselor (Licence: WA 60411002) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2015-11-03 |