| NPI | 1598293896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC60869632) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60626900) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2018-11-01 |