NPI | 1427629617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61439573) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61167622) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2023-08-29 |