| NPI | 1376227074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH61518794) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013989) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-07-29 |