NPI | 1013410695 |
---|---|
Former Name | CHARITY MORTIMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61290797) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-03-09 |
Last Update Date | 2024-08-20 |