| NPI | 1669600201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60868326) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60701063) |
| 101Y00000X Counselor (Licence: WA CG60154200) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-10-23 |