| NPI | 1720559586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61026522) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AR A1809133) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-06-15 |