| NPI | 1699073601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5803) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA 61328025) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2026-06-02 |