| NPI | 1861175051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60860946) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6885) |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |