| NPI | 1881135960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA SC6123630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60196513) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2021-09-09 |