| NPI | 1689892861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TN 1644) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA NCC 24321) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |