NPI | 1154935773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61355139) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61084680) |
Enumeration Date | 2020-09-01 |
Last Update Date | 2022-11-15 |