NPI | 1417078155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LMHC00003583) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LHMC00003583) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2007-04-02 |
Last Update Date | 2019-10-16 |