| NPI | 1508147513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: WA NA00196242) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60173166) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |