| NPI | 1679083018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7620) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA 61387665) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2024-08-15 |