| NPI | 1093127938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4134) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH 60626167) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2017-04-24 |