| NPI | 1912593690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6942) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61497317) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2024-10-25 |