NPI | 1124530902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61563951) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61563951) |
Enumeration Date | 2017-11-01 |
Last Update Date | 2024-12-26 |