NPI | 1346719648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61497402) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60813052) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2024-03-06 |