NPI | 1407556913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61284527) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC61293558) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |