NPI | 1124693841 |
---|---|
Former Name | JAMIE NOLTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW.61499580) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102486) |
Enumeration Date | 2021-05-25 |
Last Update Date | 2025-02-24 |