NPI | 1255684627 |
---|---|
Former Name | SIMOEICE PAUL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF60809127) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-10-22 |
Last Update Date | 2020-12-18 |