| NPI | 1750645412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4720) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61201069) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-11-17 |