NPI | 1174988810 |
---|---|
Former Name | MARYAM POORSHAKERI ARDEKANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60586807) |
Enumeration Date | 2015-12-23 |
Last Update Date | 2022-07-21 |