| NPI | 1841303583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR L3668) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LW00008047) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |