NPI | 1154650307 |
---|---|
Former Name | KIMBERLY ANN BUSSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60398032) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00046380) |
Enumeration Date | 2009-12-17 |
Last Update Date | 2022-06-04 |