| NPI | 1396994695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1785) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH 00009268) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |