| NPI | 1225524838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61536942) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C8192) |
| 101YP2500X Counselor, Professional (Licence: MO 2018022829) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2026-04-14 |