NPI | 1164924049 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60931094) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YP2500X Counselor, Professional | |
1041C0700X Social Worker, Clinical (Licence: WA 60931094) | |
1041S0200X Social Worker, School | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2024-02-06 |