| NPI | 1164562591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP00001566) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00009083) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-10-12 |