NPI | 1487165767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61661236) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R4951) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2025-05-15 |