NPI | 1396200010 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61160708) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2019-02-06 |
Last Update Date | 2024-02-01 |