| NPI | 1194260406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA 60815665) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 21191) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-03-17 |