NPI | 1023351780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60547235) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60314370) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2023-09-05 |