| NPI | 1750163523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61556618) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60684046) |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2024-09-16 |