| NPI | 1790416030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61217357) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61305127) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-08-08 |