| NPI | 1245698349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC61468385) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61358957) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2025-12-11 |