| NPI | 1740759943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CO61230832) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61689184) |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2025-05-06 |