| NPI | 1114450608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C5813) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61069246) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-12-24 |