NPI | 1053609503 |
---|---|
Former Name | BRIDGITTE ELGHANIMI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60604127) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
273R00000X Psychiatric Unit | |
101YP2500X Counselor, Professional (Licence: WA LH60604127) | |
102L00000X Psychoanalyst (Licence: WA LH60604127) | |
1041C0700X Social Worker, Clinical | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2011-07-19 |
Last Update Date | 2023-12-07 |