NPI | 1396149399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60367374) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13256) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2022-10-17 |