NPI | 1194593038 |
---|---|
Former Name | ANDREA BETH CALHOUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R11094) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.70000547) | |
Enumeration Date | 2023-12-19 |
Last Update Date | 2025-08-12 |