NPI | 1083950901 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC6578) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60224707) |
101YM0800X Counselor, Mental Health (Licence: WA LH60458058) | |
Enumeration Date | 2012-12-20 |
Last Update Date | 2020-05-13 |