NPI | 1336474121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2484) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60329329) |
Enumeration Date | 2009-10-12 |
Last Update Date | 2015-06-12 |