NPI | 1427513118 |
---|---|
Former Name | SHIREE LETHA TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61464449) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60931853) |
Enumeration Date | 2019-02-06 |
Last Update Date | 2025-03-19 |