NPI | 1023752276 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61512307) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61218091) |
Enumeration Date | 2022-04-25 |
Last Update Date | 2024-06-20 |