| NPI | 1306326749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO60820705) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61014236) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2020-03-27 |