| NPI | 1740887199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374700000X Technician (Licence: WA CM61000184) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61114108) |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-06-10 |