| NPI | 1952947756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61202377) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61079443) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2021-09-02 |