NPI | 1144649294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60738278) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60959223) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2019-06-18 |