NPI | 1114324902 |
---|---|
Former Name | DYLAN ANN EMRYS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT BBH-SWLC-LIC-56857) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CL60230055) |
Enumeration Date | 2014-11-24 |
Last Update Date | 2022-07-09 |