NPI | 1124785811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG61142352) |
Additional Taxonomies | 101YP1600X Counselor, Pastoral |
104100000X Social Worker | |
253J00000X Foster Care Agency (Licence: WA CG61142352) | |
Enumeration Date | 2021-11-17 |
Last Update Date | 2021-11-17 |