NPI | 1124524806 |
---|---|
Former Name | EMMA JANE FLANAGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60897341) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60897341) |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-12-19 |