NPI | 1114473261 |
---|---|
Former Name | WHITNEY LASSE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AR P1903027) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR A1608109) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2019-03-19 |