NPI | 1073949244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60878120) |
Additional Taxonomies | 101Y00000X Counselor (Licence: LH60878120.) |
101Y00000X Counselor | |
101YM0800X Counselor, Mental Health (Licence: WA MC60419745) | |
Enumeration Date | 2013-09-19 |
Last Update Date | 2022-04-07 |