| NPI | 1700364783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 6592) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61406856) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-11-09 |