NPI | 1336409580 |
---|---|
Former Name | SALLY KAY RYE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00006318) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ lpc-17273) |
Enumeration Date | 2012-05-22 |
Last Update Date | 2023-04-17 |