NPI | 1184957425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6152) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00007555) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2021-10-13 |