| NPI | 1952425142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID 4152) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA LH61583717) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-01-08 |