NPI | 1003197963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60246007) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60246007) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2013-05-22 |