| NPI | 1083894869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC00059278) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 4991) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |