NPI | 1033577945 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61131163) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6696) |
Enumeration Date | 2016-02-05 |
Last Update Date | 2024-12-02 |