NPI | 1467960823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61502897) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 66326) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2024-02-27 |