| NPI | 1043448079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60170174) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60102623) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2012-01-06 |