| NPI | 1528538089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60844747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA C060723785) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2021-05-04 |