| NPI | 1164147534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60645705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60645705) |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-10-07 |