| NPI | 1851907976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61108193) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA cg61008193) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |