| NPI | 1578129409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA 61128512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14647) |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2022-04-01 |