| NPI | 1871825026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH00011147) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CP00006265) |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2013-06-27 |