NPI | 1316475882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60761434) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14844) |
Enumeration Date | 2017-05-30 |
Last Update Date | 2024-03-12 |