| NPI | 1922682905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA GC61209426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61209426) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA NC10076502) | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-09-28 |