| 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 |