| NPI | 1750646519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH00008058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: FL MH11159) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2016-10-11 |