| NPI | 1235384181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: ID LCPC3672) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA LH00010135) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2016-04-13 |