NPI | 1437774445 |
---|---|
Former Name | ROSE JEANETTE MUNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61404533) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61404533) |
Enumeration Date | 2020-06-15 |
Last Update Date | 2023-08-22 |