| NPI | 1679233589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61092098) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61243595) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |