NPI | 1497116875 |
---|---|
Former Name | AMY MARY MYRFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60943631) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2016-03-14 |
Last Update Date | 2025-04-08 |