NPI | 1205133881 |
---|---|
Former Name | DIANE ELIZABETH MARR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60266648) |
Additional Taxonomies | 104100000X Social Worker (Licence: WA CG 60122469) |
Enumeration Date | 2011-02-17 |
Last Update Date | 2023-03-21 |