| NPI | 1578868147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC60113504) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CO60140890) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2011-01-12 |