| NPI | 1902517667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61522667) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61337178) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2024-07-23 |