| NPI | 1427416213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4857) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH60748182) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2018-11-14 |