| NPI | 1871239434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61252733) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA CG61252733) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2022-12-02 |