| NPI | 1093046088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA CP00006025) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00032812) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |