| NPI | 1225503964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA MC61564968) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R8285) |
| 372600000X Adult Companion | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2025-06-10 |