NPI | 1144732660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60792410) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11731) |
Enumeration Date | 2017-10-25 |
Last Update Date | 2022-09-03 |