NPI | 1487894598 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60284453) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2009-03-02 |
Last Update Date | 2020-04-28 |