| NPI | 1316174717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60144840) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60101070) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2011-11-15 |