| NPI | 1225057706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C1980) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00011152) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-05-05 |