| NPI | 1205992245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA CL60160169) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00051469) |
| 174400000X Specialist | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-04-26 |