| NPI | 1306498670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA 61342030) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 03121) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-01-02 |