| NPI | 1669684981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR L12415) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60138026) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2026-01-13 |