| NPI | 1619429669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60687373) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 87758) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-01-19 |