| NPI | 1578235909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA 61360931) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82320) |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-03-28 |