| NPI | 1487316485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701012807) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MHC.LH.61445330) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2023-12-14 |