NPI | 1326550955 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61215981) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60779213) |
Enumeration Date | 2017-11-05 |
Last Update Date | 2021-09-10 |