| NPI | 1689095176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: WA CM60376065) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CM60376065) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2023-08-07 |